Mishonga Inoshandiswa Kurapa uye Kudzivirira Osteoporosis
Osteoporosis chirwere chinopisa uye chinokanganisa mapfupa kusvika pakupedzisira vanova vasina kusimba uye vanobvarura nyore nyore. Vakadzi nevarume vane chirwere chepuropafu vanowanzoputsa mapfupa mumucheka, musana, uye maziso. Zvisinei, mishonga yeasteoporosis, kudya kunovaka muviri, kurovedza muviri, uye kuchengeteka kunogona kubatsira kuderedza ngozi.
Osteoporosis Treatment Program
Kana iwe uine osteoporosis, chirongwa chako chekurapa chichatarisa pa:
- Chikafu chakakodzera - kunyanya kudya kunowedzera mu calcium uye vitamini D, iyo inogona kusanganisira kukurudzira kutora calcium uye vitamini D kuwedzera
- Kudzidzira, izvo zvinongowedzera mararamiro emapfupa ako asi zvinowedzera simba remasumbu, kubatana nekuenzanisa.
- Kudzivirirwa kunodzivirira kudzika kunogona kukonzera kuputsika, zvakadai sokubvisa mabheji asina kukomba pedyo neimba yako.
Mukuwedzera, chiremba wako anogona kupa mishonga kunonoka kana kumira kurasikirwa kwefupa, kuwedzera masimba ekutema, uye kuderedza dambudziko rako rekuputsika.
Bisphosphonates
Bisphosphonates, iyo inowanzoshandiswa mishonga inoshandiswa pakurapa osteoporosis, inoderedza basa remasero-kupisa masero. Muhupenyu hwako hwose, mapfupa ekare anobviswa uye pfupa itsva rakawedzerwa pamapfupa ako. Sezvaunokura kupera kwepafupa rako kunowedzera nokukurumidza - bisphosphonates inononoka kudarika iyo nzira.
Bisphosphonates yakagamuchirwa neU.S. Food and Drug Administration (FDA) kwekudzivirira nekurapa kwehutachiona hwevakadzi shure kwekupera kwemurume uye kwevarume.
Izvo zvinotevera bisphosphonates zvakagamuchirwa neRDA inotengeswa muUnited States:
Actonel (risedronate):
- Inogona kuwedzera mapfupa ako uye kuderedza mikana yako yepona, hip, nezvimwe zvinoputika.
- Inowanikwa zuva rega rega, vhiki nevhiki, kaviri pamwedzi, uye kamwe-a-month doses.
Boniva (ibandronate):
- Inogona kuderedza mikana yako yepasipo fractures. Bonivha haideredzeri mikana yako yehup uye dzimwe fractures.
- Inowanikwa mumushandi wemwedzi wega wega uye sejoyi inopinza inopiwa kamwe kamwe mwedzi mitatu.
Fosamax (alendronate):
- Inogona kuwedzera mapfupa ako uye kuderedza mikana yako yepona, hip, nezvimwe zvinoputika.
- Inowanika mumazuva ose uye masvondo evhiki.
Reclast (zoledronic acid):
- Inogona kuwedzera mapfupa ako uye kuderedza mikana yako yepona, hip, nezvimwe zvinoputika.
- Inowanikwa sejoi inopinza inopiwa kamwe chete gore negore.
Zvimwe zvinokonzera muromo bisphosphonates zvinosanganisira matumbo emagumisiro akadai sekuoma kuedza, kuputika kweeophagus uye ulonda zvepamu.
Zvimwe zvinokonzerwa nekuputika bisphosphonates zvinosanganisira zvirwere zvinoputika, fivhiri, kurwadziwa mumisungo kana mafundo, uye musoro. Iyi migumisiro inogona kuitika nguva pfupi mushure mekugamuchira kugadzirwa uye kazhinji inomira mukati memasikati maviri kusvika matatu.
Ikokowo pane nhoroondo dzisina kujairika dzewasteonecrosis dzejaya uye yezvinetso zvinoonekwa kuvanhu vanotora muromo uye mukati meva bisphosphonates.
Raloxifene
Evista (raloxifene), inogamuchirwa neDDA yekudzivirira uye kurapa kwehutachiona hwevakadzi shure kwekupera kwemwedzi, ndeyekirasi yemishonga inonzi seni-estgengen receptor modulators (SERMs).
Evista ine estrogen-yakafanana nemigumisiro pane skeleton asi inogadzirisa isrogen migumisiro muzamu uye mubereki.
Evista inoderedza kurasikirwa kwetema uye inoderedza mungozi yako yezvipembenene mumharuro, asi hapana chinogadziriswa nehuputi chikaonekwa.
Evista inogonawo kushandiswa kubatsira kudzivirira kenza yemvere muvakadzi vari pangozi yekenza yemucheche.
Evista inotorwa mufomu yemapirisi kamwe pazuva.
Kunyange zvazvo migumisiro yakaipa isingawaniki neEvista, unogona kupisa kupisa uye kuvhara ropa mumvura yakadzika.
Calcitonin
Calcitonin, inowanikwa sechiratidzo zita rinonzi Miacalcin uye Fortical, inowanzoitika hormone inobatsira kudzora maitiro e-calcium mumuviri wako.
Madzimai anenge makore mashanu apfuura kucheka kwemwedzi, calcitonin inononoka kutapudza mapfupa, inowedzera spinal bone kuwanda, inoderedza ngozi yechipfuva, uye inogona kugadzirisa kurwadziwa kunosangana nemapfupa emapfupa.
Calcitonin inowanikwa sejisi (rakapiwa pasi peganda kana mumusungo zuva rega rega kana rimwe zuva rimwe nerimwe) kana sepasipirus zuva nezuva.
Injodzi calcitonin inogona kukonzera kugadzirisa zvinogadzirisa uye zvisingafadzi migumisiro inosanganisira kushambadzira kwechiso nemaoko, kugara uchidzoka, kusuruvara, uye kuputika kweganda. Iyo chete yechipfuva yechirwere yakataurwa neyemumvu calcitonin inosuruvarisa.
Teriparatide
Forteo (teriparatide), iyo injairika yehomoni inorwara, inogamuchirwa nevakadzi vanopinda mumasopaopausal nevarume vane osteoporosis avo vari pangozi yekuputsika.
Kusiyana nedzimwe mishonga inoshandiswa mu osteoporosis, Forteo inobata nekukurudzira mapfupa matsva ekugadzirisa mukati memumusana uye muchiuno. Kupiwa senjodzi yezuva nezuva kwemwedzi 24, inowedzera mapfupa emapfupa uye simba repafu uye yakaratidzwa kuderedza dambudziko remusana nemamwe kuputsana.
Zvimwe zvinokonzera zvinosanganisira kushungurudza, dutu, uye makumbo makumbo.
Forteo inewo yebhokisi dema rekuyeuchidza kubva kuDFA nekuda kwekonekana kaduku kuti Forteo inogona kuwedzera mukana wako wekuvandudza osteosarcoma, kenza isingawanzo asi yakakomba. Nokuda kweizvi njodzi, haufaniri kushandisa Forteo kunze kwekuti iwe uine osteoporosis uye chimwe chezvinhu zvinotevera zvinosangana: Watove wakanga uine kamwe pfupa rimwe rinoputsika; chiremba wako akatsunga kuti iwe uri pangozi yakakura yekuputika, kana iwe haugoni kutora kana kupindura kune mamwe mishonga ye osteoporosis.
Estrogen / Hormone Therapy (ET / HT)
ET / HT yakaratidzwa kuderedza kurasikirwa kwemafupa, kuwedzerwa kwehutachiona hwemapfupa mune zvose zviri mumupapiro uye hip, uye kuderedza dambudziko repasana uye hip fractures mumashurepopaopausal vakadzi. ET / HT ndiyo inowanzopiwa muchimiro chepiritsi kana ganda chikwata.
Apo estrogen - inozivikanwawo seestrogen therapy kana ET - inotorwa yoga, inogona kuwedzera mungozi yomukadzi wekuve nekenza yemuviri wterine (kenza yemapendometrial). Kuti abvise dambudziko iri, vanachiremba vanorondedzera hormone progestin - inonziwo hormone therapy kana HT - pamwe chete nesrogen yevakadzi ivavo vasina kumboita hysterectomy .
Migumisiro yeT ET / HT inosanganisa kubuda ropa, kuberekwa kwemazamu, kuvhiringidzika kwemanzwiro, kuvhara ropa mune mutsinga, uye gallbladder chirwere.
Nemhaka yehuchapupu huchangobva kuitika kuti kenza yemazamu, kurohwa, ropavha, ropa uye kushaya mwoyo zvinogona kuwedzerwa mune vamwe vakadzi vanotora estrogen, iyo FDA inokurudzira kuti iwe utore chirwere chakakwana kudarika nguva inogona kuitika. Estrogen inofanira kungofungidzirwa chete kana iwe uri pangozi yakawanda yeasteoporosis, uye iwe unofanira kutanga uchitora mishonga ye osteoporosis isina chero estrogen.